Kindred Transitional Care And Rehab-wildwood - Indianapolis Nursing Home
General Information
UPDATEFederal Provider Number
155334
Provider Name
KINDRED TRANSITIONAL CARE AND REHAB-WILDWOOD
Provider Address
7301 E 16TH ST
INDIANAPOLIS, IN 46219
INDIANAPOLIS, IN 46219
Provider Phone Number
(317) 353-1290
Provider SSA County
480
Provider County Name
Marion
Provider Website
Provider Description
Ownership Type
Government - City/county
Number of Certified Beds
160
Number of Residents in Certified Beds
150
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HANCOCK REGIONAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1989-05-19
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.02200
Reported LPN Staffing Hours per Resident per Day
1.06267
Reported RN Staffing Hours per Resident per Day
0.58167
Reported Licensed Staffing Hours per Resident per Day
1.64433
Reported Total Nurse Staffing Hours per Resident per Day
3.66634
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10867
Expected CNA Staffing Hours per Resident per Day
2.30988
Expected LPN Staffing Hours per Resident per Day
0.72347
Expected RN Staffing Hours per Resident per Day
1.33878
Expected Total Nurse Staffing Hours per Resident per Day
4.37213
Adjusted CNA Staffing Hours per Resident per Day
2.14789
Adjusted LPN Staffing Hours per Resident per Day
1.21914
Adjusted RN Staffing Hours per Resident per Day
0.32464
Adjusted Total Nurse Staffing Hours per Resident per Day
3.38019
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-10-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-08-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2012-05-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
51.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
26
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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